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Tiana Irving

Rehabilitation Practitioner in Stockton, CA. Individual provider (NPI-1).

NPI number1154837037
StatusActive
Last updated in NPPESJul 10, 2025

Details

NPI
1154837037
Entity type
Individual (NPI-1)
Name
Tiana Irving
Sex
Female
Sole proprietor
No
Enumeration date
Dec 14, 2017
Certification date
Jul 10, 2025
Last updated
Jul 10, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225400000X Rehabilitation Practitioner––Yes

Practice location

2495 W March Ln Ste 125
Stockton, CA 95207-8224

Phone 209-465-1080

Mailing address

2495 W March Ln Ste 125
Stockton, CA 95207-8224

Phone 209-465-1080

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Other Rehabilitation Practitioner providers in Stockton, CA

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